Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Jan 17, 2013
License(s)
45552 (KY), MD446748 (PA), 0101257421 (VA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1469 8TH AVE | Bethlehem, PA 18018-2256 | 484-526-7800 |
| LOCATION | 1165 CENTRE TPKE | Orwigsburg, PA 17961-9343 | 484-526-7800 |
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